Ventilator initial day at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
$7,560.17
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$7,560.17
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$109.80 with BCBS vs $6,652.95 with Beech Street — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS | TENNCARE | $109.80 | ↓ -99% |
| BCBS | COVERKIDS | $119.01 | ↓ -98% |
| BCBS | BlueCare | $204.73 | ↓ -97% |
| Bright Health | HIX | $1,285.23 | ↓ -83% |
| Oscar | HIX | $1,383.51 | ↓ -82% |
| Kentucky Labor Cabinet | WORKERSCOMP | $1,391.83 | ↓ -82% |
| NHC Advantage, Inc. | MCRHMO | $1,436.43 | ↓ -81% |
| Pruitt Health (AllyAlign) | MCR | $1,436.43 | ↓ -81% |
| Apex Health | MCR | $1,436.43 | ↓ -81% |
| Ambetter | CORE | $1,685.92 | ↓ -78% |
| BCBS | NetworkP | $1,738.84 | ↓ -77% |
| Ambetter | Select | $1,753.96 | ↓ -77% |
| Bright Health | SmallGroup | $1,814.44 | ↓ -76% |
| Humana | TRICARE | $1,890.04 | ↓ -75% |
| Cigna | NewBusiness | $1,905.16 | ↓ -75% |
| United | OptionsPPO | $2,109.29 | ↓ -72% |
| Aetna | NewBusiness | $2,116.85 | ↓ -72% |
| Cigna | OAP | $2,162.21 | ↓ -71% |
| Cigna | PPO | $2,464.62 | ↓ -67% |
| Aetna | COMM | $2,494.86 | ↓ -67% |
| Centurion | PRISON | $3,114.79 | ↓ -59% |
| United | GlobalBenefitPlan | $3,402.08 | ↓ -55% |
| Aetna | NAP | $3,780.09 | ↓ -50% |
| BGFH SingleSource | DIRECTNETWORK | $3,780.09 | ↓ -50% |
| Humana BH | COMM | $4,914.11 | ↓ -35% |
| Multiplan | COMM | $4,914.11 | ↓ -35% |
| Employers Health Network | COMM | $5,292.12 | ↓ -30% |
| Odom's TN Pride Sausage | WORKERSCOMP | $5,670.13 | ↓ -25% |
| Cigna Evernorth Behavioral Health | COMM | $6,048.14 | ↓ -20% |
| ComPsych | COMM | $6,048.14 | ↓ -20% |
| BGFH SingleSource | LEASEDNETWORK | $6,426.14 | ↓ -15% |
| Prime Health | COMMPPO | $6,652.95 | ↓ -12% |
| Beech Street | COMM | $6,652.95 | ↓ -12% |
Visitor-reported prices
Comments
Ventilator initial day at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $485.18 | $70.84 – $886.40 |
| CHI Memorial Hospital Hixson | Hixson | $680.80 | $105.43 – $1,610.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $553.61 | $70.84 – $1,207.32 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $972.90 | $105.43 – $1,610.00 |
| Johnson City Medical Center | JOHNSON CITY | $198.90 | $81.31 – $1,512.49 |
| Ascension Saint Thomas DeKalb | Smithville | $509.54 | $70.84 – $873.61 |
| Ascension Saint Thomas Highlands | Sparta | $509.54 | $70.84 – $873.61 |
| Ascension Saint Thomas River Park | McMinnville | $485.18 | $105.84 – $873.61 |